Interventional Neurology

LBN: Everton A Edmondson Md Pa
Interventional Neurology is an health care organization with primary practice located at 6560 Fannin St Suite 1234, Houston TX 77030-2761. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Neurology is the primary health care specialty. Everton A Edmondson Md Pa can be contacted via phone (713) 797-1180, or through Edmondson, Everton Anthony via phone (713) 797-1180.

Contact Information

Primary practice address
6560 Fannin St Suite 1234 Houston TX 77030-2761
Fax: (713) 797-0641
Website:
Authorized official contact:
Name: Edmondson, Everton Anthony MD PA

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X G9451 Texas
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X G9451 Texas

Profile Details

NPI number 1659312742
LBN Legal business name Everton A Edmondson Md Pa
DBA Doing business as Interventional Neurology
Authorized official Edmondson, Everton Anthony MD PA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 9th, 2006
Last updated Dec 10th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659312742 NPPES
Texas MEDICAID 190246201
Texas Other 8AJ445

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